Shawn Michael Kotlyn, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN268118 / NA06661 Issued in OH

Practice address

1414 Honeygold LN
Broadview Heights, OH 44147-3630

Phone

(440) 570-4022

NPI assigned

Jul 27, 2006

Last updated

Jan 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dayton Anesthesia and Pain Services LLCGroup PAC ID 8022245372, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032
• Summa Health System Hospital, Akron, OH, CCN 360020

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dayton Anesthesia & Pain Services, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1629401898

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesiology Services Network LTD

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1821076779
  Medicare reassignment NPD
• Legacy Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Lyndhurst, OH
  • NPI 1760741292

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Ohio LLC

  • Anesthesiology Physician
  • Springfield, OH
  • NPI 1417276429
  Medicare reassignment NPD
• Southwest Ohio Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1588645188

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Chillicothe Anesthesia Associates Inc

  • Anesthesiology Physician
  • Chillicothe, OH
  • NPI 1902806789
  NPD (past)
• Contemporary Cosmetic Surgery, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Beachwood, OH
  • NPI 1780755827
  NPD (past)
• Mercy Anesthesiologists Inc

  • Anesthesiology Physician
  • Springfield, OH
  • NPI 1427165570
  NPD (past)
• Surgery Center of Sandusky LLC

  dba Surgery Center of Sandusky

  • Certified Registered Nurse Anesthetist
  • Sandusky, OH
  • NPI 1891883096

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Joint Township District Memorial Hospital

  • General Acute Care Hospital
  • Saint Marys, OH
  • NPI 1639133002
  Care Compare affiliation
• Summa Health System

  dba Summa Health System Ignatia Hall South

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1619991031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 HONEYGOLD LN",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473630",
            "telephone_number": "440-570-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 HONEYGOLD LN",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473630",
            "telephone_number": "440-570-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLYN",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN268118 / NA06661",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN572172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2287583",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley King
• Victoria Cathrina King, SLP
• Koinonia Community Services LLC (Wallings House)
• Alison L Kolonick
• Josephine Mangoni Kosunick, O.D.
• Jacqueline Marie Kovach
• Emiliya Krichbaum, R.N
• Matthew Kubalski, PT, DPT
• Grace Kubera
• Rebecca M Kucera, DDS

• Certified Registered Nurse Anesthetist in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.